Maintenance Procedure for the ACQUITY

UPLC Sample Manager - Flow Through Needle

 2009-2011 Waters Corporation

Verify completion of the maintenance procedure for the ACQUITY UPLC sample manager - flow through
needle (FTN) by completing Form 11. If you require information about how to perform any of the steps in
this form, see the instrument’s system guide on the Waters® SystemsQT™ Projects/Documentation
DVD.

Form 11 Maintenance Procedure for the ACQUITY UPLC Sample Manager - FTN

ACQUITY UPLC Sample Manager - FTN Serial Number

Owner’s System ID

Procedure Completed

1. Replace the needle and guide.

Initials
2. Replace the sample syringe.
3. Replace the stationary side seal.
4. Replace the pump outlet tubing and seal extension tubing.
5. Replace the injector valve cartridge.
6. Clean or replace the sample manager air filter.

Comments

Certification

The undersigned performer attests that the maintenance procedure was performed according to the procedure
shown above.

Performer Date
Signature

The undersigned reviewer accepts that the maintenance procedure was performed according to the procedure
shown above.

Reviewer Date
Signature
2011Waters Corporation

715002221, Revision A 1 of 1